Achieve Rehab and Nursing Facility
170 Lake Street · Liberty, NY · 12754 · 8452924200
140 certified beds For profit - Limited Liability company
Why this verdict
- Inspection results are getting worse cycle over cycle, not better.
- No federal fines or payment denials in CMS’s 3-year window.
The composite number cleared 71 points, but Recommended is gated: inspection record below the Recommended bar. That rule is part of the published method.
The complete Safety Report — $19
Everything on this page plus the full citation-by-citation history with inspector findings, the complete penalty record, staffing vs benchmarks, side-by-side nearby comparisons, and the printable tour checklist. One PDF, emailed in minutes, yours to keep and share with family.
Red flags
No red flags in the current CMS record. Genuinely good news — pair it with an in-person tour before deciding.
Score breakdown
Quality-measure stars are deliberately excluded — they're largely self-reported by facilities. Full method.
CMS ratings & staffing
Overall: 2 of 5 Inspections: 2 of 5 Staffing: 2 of 5 Quality measures: 3 of 5
| Total nurse hours / resident-day | 3.23 | 3.48 min · 4.1 strong |
|---|---|---|
| RN hours / resident-day | 0.50 | 0.55–0.75 |
| Weekend hours / resident-day | 2.86 | ≈ weekday level |
| Nursing turnover / year | 47% | median 45% |
| Fines (3-yr window) | none |
Inspection citations (26 in the current record)
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Potential for harm · D March 30, 2026 · found via complaint
Conduct and document a facility-wide assessment to determine what resources are necessary to care for residents competently during both day-to-day operations (including nights and weekends) and emergencies.
Corrected May 22, 2026 · Administration
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Potential for harm · E March 30, 2026 · found via complaint
Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards.
Corrected May 22, 2026 · Resident Assessment and Care Planning
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Potential for harm · D January 16, 2025 · found via complaint
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected March 14, 2025 · Quality of Life and Care
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Potential for harm · D October 23, 2024
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected December 20, 2024 · Pharmacy Service
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Potential for harm · D October 23, 2024
Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature.
Corrected December 20, 2024 · Nutrition and Dietary
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Potential for harm · E October 23, 2024
Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.
Corrected December 20, 2024 · Nutrition and Dietary
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Potential for harm · D October 23, 2024 · found via complaint
Honor the resident's right to manage his or her financial affairs.
Corrected December 20, 2024 · Resident Rights
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Potential for harm · E October 23, 2024 · found via complaint
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected December 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · E October 23, 2024 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 20, 2024 · Quality of Life and Care
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Potential for harm · E October 23, 2024 · found via complaint
Observe each nurse aide's job performance and give regular training.
Corrected December 20, 2024 · Nursing and Physician Services
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Potential for harm · E October 23, 2024 · found via complaint
Provide and implement an infection prevention and control program.
Corrected December 20, 2024 · Infection Control
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Potential for harm · E October 23, 2024 · found via complaint
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected December 20, 2024 · Environmental
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Potential for harm · D October 23, 2024 · found via complaint
Ensure each resident receives an accurate assessment.
Corrected December 20, 2024 · Resident Assessment and Care Planning
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Potential for harm · D October 23, 2024 · found via complaint
Give their staff education on dementia care, and what abuse, neglect, and exploitation are; and how to report abuse, neglect, and exploitation.
Corrected December 20, 2024 · Freedom from Abuse, Neglect, and Exploitation
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Potential for harm · D October 11, 2023 · found via complaint
Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.
Corrected December 8, 2023 · Quality of Life and Care
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Potential for harm · D September 27, 2022
Not transfer or discharge a resident without an adequate reason; and must provide documentation and convey specific information when a resident is transferred or discharged.
Corrected October 24, 2022 · Resident Rights
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Potential for harm · D September 27, 2022
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected October 24, 2022 · Resident Assessment and Care Planning
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Potential for harm · D September 27, 2022
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected October 24, 2022 · Quality of Life and Care
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Potential for harm · D September 27, 2022
Provide appropriate pressure ulcer care and prevent new ulcers from developing.
Corrected October 24, 2022 · Quality of Life and Care
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Potential for harm · D September 27, 2022
Make sure there is a pest control program to prevent/deal with mice, insects, or other pests.
Corrected October 24, 2022 · Environmental
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Potential for harm · D March 28, 2019
Provide timely notification to the resident, and if applicable to the resident representative and ombudsman, before transfer or discharge, including appeal rights.
Corrected May 24, 2019 · Resident Rights
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Potential for harm · D March 28, 2019
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected May 24, 2019 · Resident Assessment and Care Planning
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Potential for harm · D March 28, 2019
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected May 24, 2019 · Resident Assessment and Care Planning
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Potential for harm · D March 28, 2019
Provide appropriate treatment and care according to orders, resident’s preferences and goals.
Corrected May 24, 2019 · Quality of Life and Care
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Potential for harm · D March 28, 2019
Provide appropriate care for a resident to maintain and/or improve range of motion (ROM), limited ROM and/or mobility, unless a decline is for a medical reason.
Corrected May 24, 2019 · Quality of Life and Care
Showing the 25 most recent. The Safety Report includes every citation with full findings.
Better-scoring options nearby
No better-scoring facility within 25 miles in the current data. See the whole state.
Family & resident reviews — a separate signal, never mixed into the score
No approved reviews yet. If your family has experience with this facility, yours could be the review that helps the next family decide.
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Source: CMS Care Compare (public domain), data as of June 1, 2026 · CCN 335449 · certified since June 5, 1975. The score is a screen, not a verdict on any one resident's experience — read how it's computed, then visit in person.